Monday, May 7, 2007

Unorganized Thoughts

I've been thinking about the trailer I watched yesterday and then shared with all of you. I have many thoughts and know there are many different reactions-- even in me!-- to what is said.

My first response is to get annoyed when I feel that I am being confronted with an agenda, until I realize that this reaction is because of growing up in a humanistic culture that tells me "agenda is bad." Agenda in and of itself isn't evil. Jesus had an agenda: to save mankind. We all have agendas. Mine, unfortunately, is too often to get my children to make my day pleasant. That's a bad agenda. I am trying to make the agenda of my life to know Jesus and am working daily to make the smaller agendas within that over-arching agenda Christ-like. This does impact my speech, behavior, and convictions in every sphere of life, and it's a good agenda so that's OK. If the agenda of this particular movie is to bash American medicine, I'm not a fan; if the movie is intended to educate women, I'm all for it. (I'm not sure it will, but perhaps that's my pessimism speaking.)

My second response to this is, "Yes!" I am guessing there are too many OB-GYNs who opt for C-sections not just because of the convenience or for insurance reasons, but also because of what it means for their pocketbook. (Even if there was only one OB-GYN with such an agenda, that's too many, in my humble opinion!) I think it might be true that a regular labor and delivery floor doesn't bring in much revenue, but that an OR sure does. The more medical intervention, the higher the cost. I know I look at my hospital bill with Gabriel compared to my independent birth center delivery bill with Bronwyn, and I must say that my eyes get big at the price difference. Modern medicine costs a lot and I think we should try to save the $$$ for when needed. (I realize that "need" is very relative, depending on what doctor and/or woman you're talking to, which is one of the major complications in all of this.)

My third response is to say very heartily that I am so thankful for medical advances. I can almost say I'm even glad for pitocin , since there would have otherwise been a C-section for me when delivering Gabriel (it may have been a C-section even with pitocin if I hadn't had midwives who really took my wishes into consideration). Because of my anemia, I now require pitocin shots immediately after birth; after Jackson's birth I needed an emergency IV with fluid because I hemorrhaged so suddenly and badly. And you'd better believe that as I sit here at 19 weeks pregnant with a real possibility of pre-term labor, I'm beyond grateful that hospitals can now regularly sustain a 24-week gestation baby-- sometimes even a 23-week'er. What a truly amazing blessing.

My fourth response is that I really like the last thing the one doctor said: Deliver at home, but within 15 minutes of a hospital. I'm not saying people have to deliver at home (I'm not to the place where I can handle the idea of the mess and my husband's not to the place where he can handle any of it!), but I think there's something to be said for approaching pregnancy as a natural thing. That doctor's attitude was a reasonable one and I appreciated it. Leave the procedures and medicines for when they are necessary-- not for when they're more convenient or comfortable and can actually cause more problems than they're worth.

I will say that I am recently discovering how poorly educated many women are when it comes to pregnancy and delivery. I think I'm just now realizing this because I've generally been surrounded by mothers who are deeply invested and have gladly sacrificed time toward learning about different procedures, medicines, side-effects, emergency-situations, etc. In these last several weeks, per recommendation from my doctor, I've hit up some pregnancy forums (you know: find women who have faced similar situations and see what they have done/didn't do that may have helped). I am amazed as I browse these forums by some of the things women are saying and doing. It has not been uncommon for me to read about women who are having their membranes stripped at 35 and 36 weeks because they're "uncomfortable" and want to be done with pregnancy. I certainly appreciate that there are huge discomforts and inconveniences to pregnancy, but I am shocked that more women don't have doctors who are saying, "Honey, when you signed on, you signed on for 40 weeks. Let's talk about stripping membranes when you're 40 weeks." I'm even more shocked that these doctors don't take the time to tell these women what a difference those last 4-5 weeks can make for the baby and that the process shouldn't be cut short unless necessary for the survival of baby and/or mother; they just strip her membranes because she asked and then she maybe finds out via an online forum that it may not have been the best decision. So, yes, if a movie like this can help educate us moms, I'm all for it.

One thing I've joked about over these past 7 weeks is that after listening to doctors, radiologists, and specialists, I have to then figure out whether it's them talking or their malpractice insurance talking! Yes, I'm making light of it, but there's some truth in this. I often wonder how many times doctors turn to medical procedures they wouldn't personally choose because our American culture values medical science over God's design.

Those are just some thoughts from me. Not very organized, but there nonetheless. I'd love to hear more from others.

On an entirely different note, I tried sitting outside in the beautiful sun today two different times in two different locations. Both times I endured about 30 minutes of yellow jackets landing on my shoulders, elbows, nose, hair, chair, book, etc. before I finally got too freaked out by the increasingly real probability of getting stung and I ran inside like the big ol' scaredy cat that I am. To that end, I am lodging my first official complaint about these products, which I otherwise love: I think bees love them, too.

13 comments:

  1. I agree wholeheartedly with the above... While I find it outrageous that there are still doctors out there that do routine episiotomies for the sake of speed and convenience, I am so glad for many of the great advances that have been beneficial and lifesaving to me and others I love.

    But the point most struck me was the one about childbirth and education. I have been stunned at how many women prefer ignorance and simply want someone to decide for them. I am dismayed that OBs and even some midwives now prefer the sheer comfort of the mother to the safety of child. It speaks volumes about our culture and it makes me sad to think of the world my children will raise their children in if things don't change.

    I've had a lot of people say things to me like, "Well, that's fine for you but..." and while I by no means expect people to do things "my" way, I am frustrated that they think our disagreements are simply a matter of equal opinion when in fact I have made my decisions based on solid statistics, studies, evidence that steer me toward what's best for my child and not because of my own comfort/feelings about it.

    That said, I have so much to learn still and it's funny that you should write this because I've been wondering if there is someone out there that teaches a more in depth course about childbirth to those of us without medical degrees. Something in between the little ditties on pregnancy sites and medical instruction that is over my head.

    This past week, when I had mastitis, my mind was racing with all sorts of questions about the way my body works in relation to breastfeeding. (This from someone who is disgusted by the suggestion that I view a placenta that came out of my own body-haha!) And I began to wonder if there are any childbirth educators out there who teach more than what I "need" to know according to our culture where nearly everything about my delivery, short of the pushing itself, is taken care of by a medical professional.

    As I read your post, I though...Wow. Sure, I've read a lot of stuff and asked a thousand questions, but do I still have a responsibility to continue to learn? Do I have a responsibility to continue to be educated beyond what the medical profession-midwives included- considers "enough" information.

    ...And I think the answer is yes. I do have a responsibility. Not to be a walking encyclopedia on the topic, but to do right by my family, my future children,and those I set an example for. Your posts reminds me how foolish it is to say "I know all I need to know now." of a topic on which I have so much yet to learn.

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  2. Oh my gosh, I just wrote a whole post as a comment... that has to be a record or something! (Sorry!)

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  3. "Honey, when you signed on, you signed on for 40 weeks. Let's talk about stripping membranes when you're 40 weeks."  I think Dr M said that to me word-for-word when I almost begged her to strip mine at 36 weeks.  I consented that she was right but then delivered Ash that night!  (Guess she really was ready!)
    Bees and Redken -do you think that is really what they were after?  I hope not since I wanted to try it and I do not like bees... 

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  4. Within the past year, I know 2 different women who were induced a week prior to their due date at the Dr's suggestion.  BOTH were induced on Wednesdays...BOTH went home on Fridays.  Seems pretty convenient for the Dr's...no working on the weekend.  I think that is horrible.  I, myself, refused to be induced before my due date.  I wanted the excitement of the first unplanned contraction.  (And boy did I get it!!) I think that medicine can take the "miracle" out the miracle of birth.  Sad.  Now, this is not all Dr's.  There are some out there that actually do look at both the mother and the child as patients.  It is scary though.  I think, with most things, the more educated you are about something the better.  You really have to be your own advocate and be assertive with it.  Thank goodness we are assertive women, huh??  :)

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  5. Oh, one more thing...it wasn't my placenta...it was a blood clot the size of a basketball.  Yuck.  I didn't know that could happen.  It was really bad.  I was also pumped with fluids afterwards....I weighed more after I had Logan than I did when I went in.  I was HUGE with water.  Must be those January boys!

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  6. there is always hope . . . always . . . after the kids we might take a quick trip downtown and do a quick fixer upper sometime . . . or we can leave you looking . . . ummmm . . . wonderful the way you are ; )

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  7. *edit* by "kids" i meant pregnancy.

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  8. I use this when i can't tollerate iron pills. http://www.florahealth.com/flora/home/canada/products/r4771.asp
    I get the herbs plus iron. It doesn't taste too bad. I used it right after i had lois.

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  9. Your sister is going to kill you, and immediately after that she's going to prove wrong your claim regarding Redken/bees!
    I couldn't watch the video. i will go back and try later since it sounds like soemthing I'd find interesting. You know what I think? I think honestly that it's VERY often an insurance/lawsuit issue when it comes time for OB's to make delivery decisions. Though I DO NOT agree with the patterns today I have gained a bit of insight from their perspective. Think about this- (and it does not apply to midwives, since they tend to have a differing, more natural take on the whole thing) but- if you were a board-certified OB and you had to choose between a controlled event (C-section) and an uncontrolled event (v. birth), and you gave way to the fear you've been fed all through Med School, you would certainly choose C-section every time. Don't get me wrong- I'm not saying it's right, I'm just finally able to see it from a different viewpoint after having Emily and Bradley. I was so angry after having them c-section I wanted to spit. I definitely felt very pressured (I was) to have the procedure when it was not completely necessary. Unfortunatly, my decision making abilities were a bit impaired by a violent stomach virus, intense labor, and the fact that Eric could not be with me. Judy Mihm was there and she was amazing and wonderful, but if you know her at all you know that one of her better qualities is NOT decisiveness! :~) Anyway, I was 9 cm and Emily was head down- ready to go. My Dr. insisted that since Bradley was foot breech, he didn't feel comfortable allowing a v. birth. GRRRR! I said (sarcastically- oops!) "Well, then- what was all that business during your residency about delivering foot-breech twins if you were never going to give it a whirl later on?" Doc smiled and sighed, "Remind me to avoid friendly chats with you in the future, OK?" Seriously- I had the nurses saying things like "Years ago this wouldn't have even been an issue." I felt like having Carol G. deliver them to be honest. But, it's not the way it worked out. And both babies were safe. And I was safe. Of course we were- after all- controlled environment, right?
    I think the part that bothers us most is how God is taken out of the picture entirely sometimes. His miracle, His handi-work, and His timing, etc. Yet we're casual about including Him in the whole process.
    Great stuff!
    P.S. Colby: (to me) "What is wrong with you guys that you're taking so long to have more babies?"
    Timothy: "Yeah, maybe we should adopt some while we're waiting."
    Colby: "No, Tim- that would be wicked expensive."
    Tim: (disheartened) "Oh. Well, I guess we'll just have to keep praying."

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  10. If I lived by you, I would totally show you how to quilt. :) It's so easy and fun. DO you have access to a sewing machine? If so, there's only a few other things you need (all can be found at walmart.) Since I'll be up this weekend, (staying at the Daniels' I just found out :)) maybe I can show you then.

    I like this post. It's funny, I quoted that "deliver at home but w/i 15 mins. of a hospital" line to Dan two nights ago. It makes sense to me! And when I delivered at home, my midwife and mom did ALL the cleanup. I took a shower and climbed in my OWN bed... very nice. :)

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  11. I think whenever we say, I would never do that....we end up doing it....my last dr and I had a big talk(he was a little aggravated, hey, he's Iranian and I questioned his authority...he did vote for Bush though---right before he came to my delivery!) about pitocin etc and that's when he was talking about managed labor...he did end up breaking my water when I was 5cm....my other births my water had broken before I went to the hospital.  It wasn't something I really thought was needed...but to my surprise there was meconium in it....I had Joy an hour after he did that and she was fine.  And I think breaking the water is more natural than having to have pitocin....So if I would have insisted on my own way, maybe that would have affected her...we just can't know everything.  We prayed for Michelle that if it was ok medically that she wouldn't have to have a cesarian this last time....doctor's don't like VBACs and she was ready for either....but we prayed for what was best and safest for her and the baby.  And she didn't have to have one!  I think when we're willing to give up our own will for God's it's best....Well, I know it is. Plus God helped me choose this last doctor, it was one of my "never's", I was never going to have a foreign doctor....but I liked him best.  He was very sweet about my miscarriages too.

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  12. Does Daniel like to grill outside?  Now that it's nice out...  I hear it's ok to be skinny and really low on fat when you live in the desert....because you need less water then.  But you should carry a little fat living in the cold north!  It's actually healthier to not be like Twiggy....I guess you'll have to ask your mom who she was...you're warmer and don't get sick as much.  And guys actually like us to be a little softer....yes I have too much soft right now!  I actually have a deal with Matthew that I will take the impossible task of losing 20lbs by the end of June if he will take what he thinks is an impossible task of getting done and passing his courses by then....I think he needs a "death crawl"....that's for anyone who's seen "Facing the Giants".   

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  13. I'm sure my experiences have given me a less than fair bias against doctors, as well as a tendency now to over-inform myself (if that is possible). I was completely ignorant throughout my first pregnancy and my doctor did absolutely nothing to rectify that. She never mentioned the possibility of a cesarean until she told me I had to have one...and even then, never mentioned any risks involved, and in fact lied and told me that I would need an emergency c-section (ie, vertical incision and general anesthesia) if I went into labor with the baby breech. She also had told me for 4 weeks that the baby was head down (including doing so on the day that an ultrasound showed otherwise), which made the ultimate realization of the baby being breech a "too little, too late" scenario.
    My second doctor, I have concluded, made up a phony reason to have a cesarean (I have never heard of meconium warranting a cesarean unless there are heart rate problems) and threatened to drop me as a patient if I didn't go along and stop asking questions (while I was in labor).
    Still, at this point, I admit that the risk of complication is too high for me to be comfortable attempting to give birth anywhere other than a hospital. And, so far, my opinion of my current doctor is very good and I think he is actually interested in my well-being and medical fact as opposed to acting in response to a fear of lawsuit. He answers questions and offers his opinion without being judgmental or condescending about it.
    Unfortunately, most doctors are not like this, and if a woman chooses to give birth attended by a doctor, it seems that, too often, it doesn't really matter how much she knows about what is going on because the doctors don't want to discuss it anyway (despite being legally required to do so), and leave informed women with the hard choice of not having a say, or of searching for the one doctor who will listen, or of risking any potential complications and leaving doctors out of it altogether. There is definitely something wrong.

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